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Procedure price report · Pathology

Gene panel for inherited retinal eye diseases

CPT 81434the billing code this page is about

A laboratory test that reads the DNA sequence of at least 15 genes tied to inherited retinal conditions such as retinitis pigmentosa; billed once for the whole panel.

Hospitals typically charge $825 cash for this outpatient procedure — the median across 154 hospitals that filed a usable cash price; the average of the middle 60% is $903. Most fall between $598 and $1,400 (20th–80th percentile).

Hospitals
154
States
26
Filings dated
Sep 2025 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 154 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$358$598$825$1,400$1,865

The most expensive tenth of hospitals charges at least 5.2× what the cheapest tenth charges ($358 vs $1,865).

How the prices are spread

$358 – $460: 14 hospitals$358$460 – $591: 4 hospitals$591 – $760: 47 hospitals$591$760 – $977: 31 hospitals$977 – $1,255: 6 hospitals$977$1,255 – $1,614: 25 hospitals$1,614 – $2,074: 10 hospitals$1,614$2,074 – $2,666: 5 hospitals$2,666 – $3,426: 0 hospitals$2,666$3,426 – $4,404: 1 hospitals$3,426median $825price bands are equal on a log scale
Hospitals per price band (143 of 154 — the bands cover the 5th to 95th percentile)
FromToHospitals
$358$46014
$460$5914
$591$76047
$760$97731
$977$1,2556
$1,255$1,61425
$1,614$2,07410
$2,074$2,6665
$2,666$3,4260
$3,426$4,4041

By state

The median cash price in each state, against the national median of $825.

Alaska: no hospital in the corpus filed a usable priceAKMaine: no hospital in the corpus filed a usable priceMEVermont: no hospital in the corpus filed a usable priceVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: 4 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: no hospital in the corpus filed a usable priceIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: 8 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: 3 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: no hospital in the corpus filed a usable priceWIMichigan: 4 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $598 across 13 hospitalsNY$598Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: no hospital in the corpus filed a usable priceORNevada: 1 hospital filed a usable price — fewer than 10, so no figureNVWyoming: no hospital in the corpus filed a usable priceWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $958 across 11 hospitalsIA$958Indiana: median $1,159 across 12 hospitalsIN$1,159Ohio: 1 hospital filed a usable price — fewer than 10, so no figureOHPennsylvania: median $864 across 13 hospitalsPA$864New Jersey: median $658 across 23 hospitalsNJ$658Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $1,400 across 19 hospitalsCA$1,400Utah: no hospital in the corpus filed a usable priceUTColorado: no hospital in the corpus filed a usable priceCONebraska: no hospital in the corpus filed a usable priceNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 5 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: no hospital in the corpus filed a usable priceNCSouth Carolina: no hospital in the corpus filed a usable priceSCOklahoma: 2 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $358 across 16 hospitalsTX$358Florida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $825. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA19$1,400+70%$1,400 – $1,400
Indiana IN12$1,159+40%$1,020 – $1,566
Iowa IA11$958+16%$958 – $958
Pennsylvania PA13$864+5%$731 – $6,856
New Jersey NJ23$658−20%$598 – $658
New York NY13$598−28%$598 – $598
Texas TX16$358−57%$358 – $358
Minnesota MN8not enough hospitals filed a usable price
Tennessee TN5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Michigan MI4not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
Illinois IL3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
Oklahoma OK2not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
Ohio OH1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $825.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care136$777$598 – $1,400
Children’s9fewer than 20 hospitals
Critical access9fewer than 20 hospitals
Ownership
For-profit10fewer than 20 hospitals
Government16fewer than 20 hospitals
Non-profit128$898$598 – $1,400
System affiliation
Part of a system145$840$598 – $1,400
Independent9fewer than 20 hospitals

Cash price vs list price

Median list price (chargemaster)$1,844
Median cash price$825
Cash as a share of list, median hospital56%

At the typical hospital, asking for the cash price cuts the list price by about 44%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

How complete is this

154 of the 3,956 hospitals with a price file in our corpus (4%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 160 hospitals that filed this code at all gave us
Usable cash price — counted154
Cash price carrying a plausibility flag — shown on the compare tool, excluded here3
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded1
Hospitals that filed this code160

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 5, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Pathology family.

Hospitals file this code under descriptions such as HERED RTA DO GEN SEQ 15.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Gene panel for inherited retinal eye diseases (CPT 81434) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81434-gene-panel-for-inherited-retinal-eye-diseases